Application and advantage of EBUS-TBNB in the diagnosis of enlarged mediastinal lymph nodes
10.16352/j.issn.1001-6325.2025.05.0671
- VernacularTitle:EBUS-TBNB在纵隔肿大淋巴结诊断中的应用及优势
- Author:
Yutu LUO
1
;
Lei HUANG
;
Jun LIU
;
Yinchun TIAN
;
Yun LIU
;
Jiahua PAN
Author Information
1. 泰州市第二人民医院呼吸与危重症医学科,江苏泰州 225500
- Keywords:
mediastinal lymph nodes;
endobronchial ultrasound-guided(EBUS);
needle aspiration;
node biopsy
- From:
Basic & Clinical Medicine
2025;45(5):671-674
- CountryChina
- Language:Chinese
-
Abstract:
Objective Compared with endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA),this study aims to explore the diagnostic advantages of endobronchial ultrasound-guided transbronchial node biopsy(EBUS-TBNB)in the diagnosis of mediastinal lymph node metastasis,lymphadenitis,sarcoidosis and other mediastinal lymph node diseases associated with mediastinal enlargement in lung cancer and extra-pulmonary tumors.Methods The detection rate of malignant tumor was(14/35,40％)by EBUS-TBNA and average amount of bleeding during each operation was 1-2 mL;Compared with EBUS-TBNA,the detection rate of malignant tumors by EBUS-TBNB was(23/35,66％)(P＜0.01),and 4 cases of granulomas were diagnosed,and the average amount of bleeding during each operation was 3-4 mL.Conclusions Compared with EBUS-TBNA,EBUS-TBNB has a higher detection rate for malignant tumors and has more advantages in the diagnosis of benign proliferative dis-eases.It can further improve the accuracy and sensitivity of diagnosing mediastinal enlarged lymph nodes so is wor-thy of clinical promotion and application.
